Public knowledge and beliefs about dementia risk reduction: a national survey of Australians.

Public knowledge and beliefs about dementia risk reduction: a national survey of Australians.
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DOI:
10.1186/1471-2458-14-661
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发表时间:
2014-06-28
期刊:
影响因子:
4.5
通讯作者:
Quach H
Quach H
中科院分区:
医学2区
文献类型:
--
作者:
Smith BJ;Ali S;Quach H

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随着阿尔茨海默病和其他形式的痴呆症对全球疾病负担的贡献急剧增加,各国正被敦促将其作为公共卫生优先事项来解决。这项研究调查了澳大利亚成年人是否认识到这是一个重要的健康问题,并持有与降低痴呆症风险建议一致的信念和知识。这项研究是为了指导国家的脑健康意识和教育战略。一项横断面电话调查对1003名年龄在20-75岁的澳大利亚人进行了调查。这项研究衡量了对痴呆症的重视程度、与降低风险有关的信念和信心、降低风险方法的知识,以及这些方法与年龄的相关性。在分析中,数据按性别、年龄、教育程度、家庭收入、语言偏好和既往患痴呆症的情况进行了分层。采用多变量Logistic回归来确定与信念和知识独立相关的变量。60岁及以上的人认为痴呆症非常重要的比例(17.2%)高于40-59岁的人(5.1%)或20-39岁的人(2.1%)。虽然41.5%的受访者认为患痴呆症的风险可以降低,但26.9%的受访者非常有信心可以做到这一点。心理活动(57.1%)比体力活动(31.3%)、健康饮食(23.3%)和其他心血管健康行为更有益。女性、说英语的人和那些与痴呆症患者有接触的人对几种健康行为表现出更好的了解。人们越来越重视减少人口风险,以应对痴呆症造成的疾病负担急剧增加的问题。在澳大利亚,许多人还没有持有支持这一观点的信念和知识,这突出表明需要协调一致地提高认识,认识到痴呆症不是老龄化的一个不可避免的方面,并需要进行关于血管健康在降低痴呆症风险方面的作用的教育。
With the dramatically increasing contribution of Alzheimer’s Disease and other forms of dementia to the global burden of disease, countries are being urged to address this as a public health priority. This study investigated whether Australian adults recognise this as an important health issue, and hold beliefs and knowledge that are consistent with recommendations concerning dementia risk reduction. This research was undertaken to guide national brain health awareness and education strategies. A cross-sectional telephone survey was undertaken of 1,003 Australians aged 20–75 years. This measured the importance placed on dementia, beliefs and confidence related to risk reduction, knowledge of risk reduction methods, and the perceived age-relevance of these. In analysis the data were stratified by sex, age, educational attainment, household income, language preference and previous exposure to dementia. Multivariable logistic regression was undertaken to identify variables independently associated with beliefs and knowledge. People aged 60 years and over identified dementia as very important (17.2%) more often than those aged 40–59 years (5.1%) or 20–39 years (2.1%). While 41.5% of respondents believed the risk of dementia could be reduced, 26.9% were very confident that they could achieve this. Mental activity (57.1%) was identified as beneficial much more often than physical activity (31.3%), healthy eating (23.3%) and other cardiovascular health behaviours. Women, people of English-speaking origin, and those having contact with a person with dementia, showed better knowledge of several health behaviours. Growing attention is being given to population risk reduction to combat the dramatic increase in the burden of disease due to dementia. In Australia many people do not yet hold beliefs and knowledge that support this, which highlights the need for concerted awareness raising that dementia is not an inevitable aspect of ageing, and for education about the role of vascular health in dementia risk reduction.
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发表时间: 2013-11-02
期刊: LANCET
影响因子: 168.9
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DOI: 10.1080/13607863.2011.569478
发表时间: 2011-01-01
影响因子: 3.4
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发表时间: 2011-09
期刊: LANCET NEUROLOGY
影响因子: 48
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DOI: 10.1016/s0140-6736(05)67889-0
发表时间: 2005-12-01
期刊: LANCET
影响因子: 168.9
作者:
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DOI: 10.1016/j.jalz.2005.06.022
发表时间: 2005-07-01
期刊: Alzheimer's & dementia : the journal of the Alzheimer's Association
影响因子: --
作者:
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通讯作者: Forette, Francoise